Individual ProviderLaura Ann PuccioPsychologistBehavioral Health & Social Service ProvidersPractice Address104 W 29th St, 3rd Floor, New York, NY 10001-5310(212) 616-1800(917) 974-3000PECOS EnrollmentBased on the most recent information from CMS, provider Laura Ann Puccio does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1770841538Provider TypeIndividualFull NamePuccio, Laura AnnGenderFemaleSole ProprietorYesEnumeration Date4/30/2012Last Updated4/30/2012Contact InformationPractice LocationPractice Address104 W 29th St, 3rd Floor, New York, NY 10001-5310Phone(212) 616-1800FaxUnlisted FaxMailing LocationMailing Address166 W Walnut St, Long Beach, NY 11561-3316Phone(917) 974-3000Fax(212) 898-1143Provider TaxonomiesCodeDescriptionLicenseCode103TS0200XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNew York